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心脏跳动下小儿心脏手术的临床经验
引用本文:朱水波,殷桂林,张殿堂,胡健才,庞大志,张晓明,王荣平.心脏跳动下小儿心脏手术的临床经验[J].中国医师进修杂志,2004,27(2):21-22.
作者姓名:朱水波  殷桂林  张殿堂  胡健才  庞大志  张晓明  王荣平
作者单位:广州军区武汉总医院,心胸外科,湖北,武汉,430070
摘    要:目的总结浅低温体外循环心脏跳动下施行小儿心脏手术的经验.方法在浅低温体外循环心脏跳动下完成小儿心脏手术88例,总结气栓防止、术野显露及体外循环相关的经验. 结果 88例手术顺利,术野显露达到要求,无气栓发生,1例手术死亡. 结论浅低温体外循环心脏跳动下心脏手术的方法具有实用价值,但对手术操作和体外循环提出了新的要求.

关 键 词:小儿  心内直视手术  先天性心脏病
文章编号:1002-0764(2004)01B-0021-02
修稿时间:2003年9月12日

Practice of open heart operation on beating heart in children
ZHU Shui_bo,YIN Gui_lin,ZHANG Dian_tang,HU Jian_cai,PANG Da_zhi,ZHANG Xiao_ming,WANG Rong_ping.Practice of open heart operation on beating heart in children[J].Chinese Journal of Postgraduates of Medicine,2004,27(2):21-22.
Authors:ZHU Shui_bo  YIN Gui_lin  ZHANG Dian_tang  HU Jian_cai  PANG Da_zhi  ZHANG Xiao_ming  WANG Rong_ping
Abstract:Objective To discuss the experience of open heart operation on beating heart in children with congenital heart diseases.Method 88 open heart operations on beating heart were performed in 88 children with the congenital heart diseases. The experiences on the prevention of gaseous emboli, operative field exposure, and related exreacorporeal circulation were analyzed. Results All 88 surgical procedures were smooth and satisfactory. Operative field exposures were clear enough to finish the surgery. None gaseous emboli occurred during operation. One patient died postoperatively. Conclusion Open heart operation on beating heart with slight hypothermia might be feasibility in children with the congenital heart diseases. High levels of surgical procedures and exreacorporeal circulation are prerequisite for the completion of operation.
Keywords:children  open heart operation  congenital heart disease
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